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Endotracheal intubation (ETI) is indicated to protect and control the airway. As in any medical process, patients who require advanced airway management are not exempt from experiencing sequelae, especially when more manipulation is required to secure the airway, or in combination with procedures that may affect airway structures such as adenotonsillectomy. It is important to keep in mind that short-term intubation in healthy patients can result in significant tracheal inflammation at the microscopic level without creating symptoms. This finding has been demonstrated by studies such as the one done by Puyo et al. 1 which showed that adult patients intubated for 3 h during surgical procedures had a 10-fold increase in the number of polymorphonuclear cells between intubation and extubation. The innate immune system intervenes in the perioperative period since it is involved in the pathophysiological characteristics of subglottic stenosis and other endotracheal injuries secondary to ETI because the tracheal mucosa is constantly exposed to endogenous

Purpose To determine what influence our instagram account, @accigunbosque, can have on the spread of medical knowledge, as well as the impact it may have on the actual learning process, in order to describe the utility of these accounts on social media within the medical community. Methods A longitudinal, prospective, descriptive study and a narrative perception analysis. Interaction data was recollected for 26 weeks, and evaluations were carried out with 2 posts from the page, in order to assess the quality of interaction with educational material. The differences between before and after scores of the participants in the educational modules were calculated with the Wilcoxon signed-rank test for related samples. Finally, the texts of comments from publications were analyzed with NVivo11. Results The page generated 48 infographic posts and held 3 webinars throughout the study period. The maximum number of accounts reached was 15,368, the average number of visits to the profile was 380, the average amount likes received on posts was 316, and the maximum number of saves was 414. The median of comments per publication was 3, ranging from none to a maximum of 27. Participation in the quizzes was 16/568 and 3/502, and a significant difference was found (p = 0.024) in the first quiz. The content of 186 comments was reviewed and only 4% made additional contributions or left constructive remarks, with the rest being composed of emoticons and admiration. Conclusions For means of data sharing, Instagram can be a very useful tool as seen within our study. However, the actual learning process behind Instagram may prove to be deficient, considering the little participation in our two educational modules. This allows one to hypothesize that many Instagram users are likely to passively view and interact with educational Instagram posts, but may not actively retain information as expected.